title: [Ampullary and periampullary tumors].
abstract: Ninety-eight consecutive patients with ampullary and periampullary carcinoma diagnosed between 1983-1993 were studied retrospectively. Among these patients, 66 had a carcinoma of the head of the pancreas, 10 a carcinoma of the papilla of Vater, 8 a carcinoma of the duodenum, and 14 a carcinoma of the distal common bile duct. Resectability rate ranged from 12% to 90% according to the tumor location and histologic type. Palliative procedures such as laparotomy, biopsy and bilio-digestive bypasses were performed in 27 patients. Curative resections were performed in 24 cases: 20 pancreatoduodenectomies, 2 total pancreatectomies, 1 duodenectomy, 1 common bile duct resection. The results of the surgical treatment as well as mortality and morbidity rates were compared with those of different and larger series.
authors.affiliation: Istituto di III Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi La Sapienza, Roma.
authors.forename: M G
authors.initials: MG
authors.lastname: Di Bello
authors.forename: I
authors.initials: I
authors.lastname: Giacinti
authors.forename: P F
authors.initials: PF
authors.lastname: Marzano
authors.forename: A
authors.initials: A
authors.lastname: Maturo
authors.forename: F M
authors.initials: FM
authors.lastname: Di Matteo
authors.forename: M
authors.initials: M
authors.lastname: Micacchi
authors.forename: P
authors.initials: P
authors.lastname: Petrassi
authors.forename: P
authors.initials: P
authors.lastname: Zaccagnino
authors.forename: B
authors.initials: B
authors.lastname: Di Curzio
authors.forename: A
authors.initials: A
authors.lastname: Polla
authors.forename: F
authors.initials: F
authors.lastname: Cappelletti
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater / Q000473:pathology / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
vernacular_title: Tumori ampollari e periampollari.